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Arkansas rates for HCPCS 19396

Preparation Moulage Custom Breast Implant

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$161.34 / $1,230.00 / $3,109.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.21 / $244.55 / $309.45
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,496.35 / $3,496.35 / $4,195.62
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.63 / $208.30 / $355.52
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,447.62 / $3,447.62 / $3,447.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.90 / $271.74 / $494.99
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,240.00 / $2,311.00 / $5,626.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.75 / $295.93 / $521.70